Las Vegas Recovery Hospital LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

LAS VEGAS RECOVERY HOSPITAL LLC

Practice address

102 E Lake Mead Pkwy
Henderson, NV 89015-5575

Phone

(702) 941-4673

NPI assigned

Mar 27, 2026

Organization subpart

Yes

Parent organization

LAS VEGAS RECOVERY HOSPITAL LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ben Levin

Title

President

Phone

(732) 714-5551

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Las Vegas Recovery Hospital LLC

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1508685629

  8022502525

  Same PAC ID

Tax ID family

Las Vegas Recovery Hospital LLC2 organizations share this tax ID, including this one

Part of

Las Vegas Recovery Hospital LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Las Vegas Recovery Hospital LLC

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1508685629
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Las Vegas Recovery Hospital LLC

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1508685629
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edsel Iway, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1093097735
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1245179845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 TOWBIN AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155575",
            "telephone_number": "702-941-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS RECOVERY HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAS VEGAS RECOVERY HOSPITAL LLC",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-714-5551"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Family Medicine) Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Addiction Medicine (Family Medicine) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.